Mitral and Tricuspid Valve Disease - Key Points

Question 1

Most common cause of mitral stenosis

Answer 1

rheumatic MV disease

Question 2

clinical presentation of mitral stenosis

Answer 2

CHF, R sided HF, afib, stroke

Question 3

PEx of mitral stenosis

Answer 3

loud S1, opening snap, diastolic rumble

Question 4

Tx of mitral stenosis

Answer 4

• meds: beta blockers, diuretics, anticoag

- intervention: balloon valvuloplasty vs MV replacement

Question 5

Most common cause of mitral regurgitation

Answer 5

mitral valve prolapse (secondary occurs in pts with severe LV dysfn and dilation)

Question 6

clinical presentation of mitral regurgitation

Answer 6

CHF sx

Question 7

PEx of mitral regurgitation

Answer 7

holosystolic murmur at the apex radiating to the axilla

Question 8

Tx of mitral regurgitation

Answer 8

• meds: diuretics, afterload reduction

- surgery: MV repair > replacement

Question 9

Most common cause of tricuspid regurgitation

Answer 9

functional valve disease related to RV pressure/vol overload

Question 10

PEx of tricuspid regurgitation

Answer 10

holosystolic murmur along the sternal border that increases with inspiration

Question 11

clinical presentation of tricuspid regurgitation

Answer 11

dyspnea, edema, ascites, liver dysfn

Question 12

Tx of tricuspid regurgitation

Answer 12

• meds: diruetics

- surgery: most common indication is TV repair at the time of the L sided valve surgery